33D2298885 CLIA NUMBER - INTENTION INTERNAL MEDICINE, PLLC

Laboratory Demographics

  • CLIA Code: 33D2298885
  • Facility Name: INTENTION INTERNAL MEDICINE, PLLC
  • Facility Address: 609 N FRANKLIN STREET
    WATKINS GLEN, NY
    ZIP 14891
  • Facility Phone: 607 210-6111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHANNON S. SCHAMEL
  • NPI Number: 1134998156
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2298885
LAB Type Physician Office
Facility Name INTENTION INTERNAL MEDICINE, PLLC
Street 609 N FRANKLIN STREET
City WATKINS GLEN
State NY
ZIP 14891
Phone 607 210-6111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director DR. SHANNON S. SCHAMEL

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This page was last updated on: 9/29/2025